Portneuf Medical Center

NPI 1053353227 - Home Health - 251E00000X

NPI Details
NPI 1053353227
Enumeration Date 06/12/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHNATHAN JOHNATHAN
Position VP FINANCE & CFO
Phone (208) 239-1000
Fax (208) 239-0408
Practice Location
651 MEMORIAL DR
POCATELLO ID, 83201-4071, US
Phone (208) 239-1000
Fax (208) 239-0408
Business Location
651 MEMORIAL DR
POCATELLO ID, 83201-4071, US
Phone (208) 239-1000
Fax (208) 239-0408
Toxanomy
Taxonomy Code 251E00000X
License State Idaho
License Number HH106
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According to our database, Portneuf Medical Center NPI is 1053353227, taxonomy code is 251E00000X and license number is HH106, license state is located at Idaho. Portneuf Medical Center physically located at 651 Memorial Dr, Pocatello ID, 83201-4071. NPI Number 1033115704 has the healthcare provider type.

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1053353227 NPI number is provided on an as is basis without warranty of any kind. 1053353227 is maintained by the National Plan & Provider Enumeration System. The contents of Portneuf Medical Center are for informational purposes only.